Medical Administrative Assistant Portfolio

MEDICAL
ADMINISTRATIVE
ASSISTANT
Table of contents
Contents
 INTRODUCTION
 SECTION 1
HIPAA:
What Is HIPAA?
HIPAA Terms
Abbreviation Explained
Security Standard
Basic Steps Using ICD Index
 SECTION 2
Medical Administrative Section
Medical Treatment
Workforce
Requirements For Payment Requests
2
Required Information For New Patients
Required Information For Existing Patients
Individual Patient Rights
 General Clinical Office Tips : Click icon to add picture
Things To Do Before The Office Opens
Things To Do Before The Office Closes
 SECTION 3
OSHA: Click icon to add picture
Standard & Precautions
Disposable Procedures
 SECTION 4
Structure Of The Heart
Pulse Points And Pulse Basic
Respiration Basic
Blood Pressure Basic
Blood Sugar Basic
Vital Sign Basic – Temperature BC
Click icon to add picture
Testing Pregnancy Basic
 Section 5
Common Prescription Abbreviation And Symbol Used
References
Tuesday, February 2, 20XX Sample Footer Text 3

Introduction
This is a portfolio created for the course Medical Administrative
Assistant. It has been produced by myself which I had studied,
researched and worked vigorously of creating this portfolio to be a
success.
Approximately the amount of knowledge gain throughout this 5 weeks

course would be learning about HIPAA, The individual patient rights
the medical administrative part of this course as well as the medical
part, significant or OSHA procedures, the basic steps using ICD index,
how to test blood pressure, blood sugar, pregnancy, pulse and learning
and knowing the prescription abbreviation and symbols used.

SECTION 1
HIPAA
What does HIPAA mean?
HIPAA (health insurance portability and accountability act) is a public health law responsible for making sure health
care providers and insurance companies meet national standards for the protection of identifiable health information,
healthcare data, and electronic health records.

HIPAA TERMS
what does the following means, describe briefly?
A. DII – Health information that has had all personal identifiers removed from the data set. May be
disclosed without consent of the individual.
B. DISCLOSURE – Releasing, transferring, providing access to, or divulging in any manner information
outside the entity holding the information.
C. HEALTH CARE OPERATION – refers to using protected health information (PHI) to support business
activities of practice. This may include employee training, marketing, fund-raising, licensing, and
quality assessment.

What is the following meaning of each abbreviation explain briefly?
A. IIHI - Created by a health care organization, relates to past, present, or future condition of an individual, and could
be used to identify that individual.
B. PII - Identifiers within health information that could be used to identify an individual.
C. PHI - Any patient identifiable information regardless of the media form it is in, whether at rest or in transit.
Explain what is security standard?

SECURITY STANDARD
Protect the Confidentiality, Integrity, and Availability of PHI.
■ Confidentiality is the prevention of unauthorized disclosure of data.

■ Integrity is the prevention of unauthorized modification of data.
■ Availability is the prevention of loss of access to resources and data.

What do treatment refer to?
Treatment refers to using PHI to provide, coordinate, or manage health care and related services.
Explain the term workforce?

Employees, volunteers, trainees, and other people under the direct control of a covered entity.
Individual Patient Rights
Patients Always Have the Right to Request:
 Access to information.
 Amendment of PHI.
 Additional restriction of information.
 Alternative communications.
 Accounting of disclosures.
8
SECTION 2
What do you need to process a request for payment?
 Patient’s legal name .
 Relationship to insured (self, spouse, child, other) .
 Address and telephone number .
 Individual identification number and Social Security number .
 Group identification number .
 Employer of insured party .
 Claims address, department, proper P.O. Box .
 Date of service .
 Diagnostic codes (that support treatment) .
 Treatment codes.
9
What information will be required for new patients?
New Patients
 Photocopy of insurance card (placed in patient’s file or added to electronic health record).
 Verification of eligibility (call, fax, or Internet verification).
 Photocopy of driver’s license or other photo identification (placed in patient’s file).
What information will be required for existing patients?
Existing Patients
 Has your insurance changed?
 Has your name, address, phone number, or e-mail address changed?
 Has your employment changed?

THE HEART
11
P U L SE P O I N T S
12
SECTION 3
Using the ICD Diseases Index
 Here are basic steps for using the diseases index:
1. Locate the main term in the Index to Diseases (Volume 2).
2. If the phrase “see condition” is found after the main term, a descriptive term (an adjective) or the anatomic site has
been referenced instead of the disorder or the disease (the condition) documented in the diagnostic statement.
3. When the condition listed is not found, locate main terms such as syndrome, disease, disorder, derangement of, or
abnormal.
13
OSHA AND STANDARD PRECAUTIONS
The Occupational Safety and Health Administration (OSHA) has mandated various standards to ensure the safety of all
health care professionals and their patients, including disposal procedures and cleaning up spills of biohazardous material.
 DISPOSAL PROCEDURES
Proper disposal of contaminated articles is an important component of OSHA rules.
Biohazard Container Regular Waste Sharps Container

Container
All supplies contaminated with • Wrappers • Needles
blood or body fluids, such as: • Paper towels • Capillary tubes
• Gloves • Examination table paper • Dermal puncture lancets
• Gauze • Supplies not contaminated • Broken glass or Slides
• Bandages with blood or body fluids
• Gowns
• Other contaminated linens

VITAL SIGNS BASICS – TEMPERATURE BASICS
 Temperature increases with infection, exercise, crying, and pregnancy.
 Temperature is decreased in morning.
 For rectal temperature, subtract 1 degree.
 For axillary temperature, add 1 degree.
 Note method of temperature assessment, such as oral, rectal, axillary, or aural.

PULSE BASICS
 Pulse increases with physical activity, pain, anxiety, fever, pregnancy, and certain medications.
 Pulse is decreased in elderly and with certain medications.
 Note pulse rhythm and volume.

RESPIRATION BASICS
 Respiration increases with physical activity, anxiety, certain medications, and fever.
 Respiration is decreased in elderly and with certain medications.
 Note respiratory rhythm and depth.
 Note abnormal breath sounds, if any.
 Take respiration rate without the patient knowing.

BLOOD PRESSURE BASICS
 BP increases with physical activity, anxiety, stress, smoking, and certain medications.
 BP decreases with certain medications.
 Make sure cuff is correct size for patient.
 Never hold bell with thumb.
 Position cuff so scale is easily visible.
 Position patient’s arm at heart level and support the arm.
 Wait 1 to 2 minutes before repeating BP.
 Note arm (L or R) and patient position (sitting or lying).

GENERAL CLINICAL OFFICE TIPS
 Things to do before the office opens:
1. Clean all examination rooms.

2. Make up bleach solution.
3. Perform quality control on various laboratory equipment.
4. Record QC results.
5. Record temperatures of refrigerators, freezers, and so forth.
6. Make sure all instruments are in working order, such as otoscopes, lights, etc.
 Things to do before the office closes:
1. Pull charts for following day.

2. Pick up examination rooms and empty trash in all areas.
3. Wipe down counters, scales, and so forth with bleach solution.
4. Sterilize instruments as needed 19
COMMON MEDICAL ABBREVIATIONS
20
REFERENCES
■ Academy of Nutrition and Dietetics—www.eatright.org https://youtu.be/r9LPlIh45is

■ American Academy of Pediatrics—www.aap.org https://www.citycollege.edu/the-top-skills-you-need-for-medical-administration-
■ American Association of Medical Assistants—www.aama-ntl.org duties/
■ American Cancer Society—www.cancer.org https://www.nursingtimes.net/clinical-archive/assessment-skills/blood-pressure-
■ American Diabetes Association—www.diabetes.org 2-procedures-for-measuring-blood-pressure-15-05-2020/
■ American Heart Association—www.heart.org https://www.healthline.com/health/high-blood-pressure-hypertension/blood-
■ American Lung Association—www.lungusa.org pressure-reading-explained
■ American Red Cross—www.redcross.org https://www.tabers.com/tabersonline/view/Tabers-Dictionary/767492/all/
■ American Society for Clinical Pathology—www.ascp.org Medical_Abbreviations
■ Becton, Dickinson, and Company—www.bd.com https://youtu.be/zKWM5RYOg68
■ Centers for Disease Control and Prevention—www.cdc.gov https://youtu.be/__3xUu4jDQM
■ U.S. Drug Enforcement Administration—www.dea.gov https://youtu.be/VgACtHShXZM
■ U.S. Food and Drug Administration—www.fda.gov https://youtu.be/ANunTtdu49o
■ MSDS Solutions Center—www.msds.com https://www.nursa.org/what-type-of-legal-issues-may-a-medical-assistant-
■ Medicaid—www.medicaid.gov encounter/
■ Medicare—www.medicare.gov https://youtu.be/TR3WG0HcLI0
■ Medical dictionary at MedicineNet—www.medterms.com https://images.app.goo.gl/5oot3TcYoSLLMt3RA
■ Medical Transcription (MT) Desk—www.mtdesk.com https://youtu.be/u6GDaKsVn9s https://youtu.be/zjzfPARpI4Q
■ National Institutes of Health—www.nih.gov https://images.app.goo.gl/zrbjfyRcRydEbyUM8
■ Occupational Safety and Health Administration (OSHA)—www.osha.gov https://images.app.goo.gl/XdeYzWzx64r8qC1V7
■ RxList: The Internet Drug Index—www.rxlist.com https://images.app.goo.gl/CdxKeHHPRDknVFKT6
■ The National Women’s Health Information Center—www. https://youtu.be/LXwul9mVSek https://youtu.be/oePYpdC0MfI
healthywomen.org https://youtu.be/kUPRd8cCoZk https://www.who.int/westernpacific/about/how-
■ U.S. Department of Health and Human Services—www.hhs.gov we-work/programmes/health-law-and-ethics
■ U.S. Government health information—www.healthfi nder.gov https://study.com/academy/lesson/legal-issues-in-nursing-concepts-and-
■ World Health Organization—www.who.int/en terms.html https://youtu.be/TR3WG0HcLI0
21
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MEDICAL

Basic Steps Using ICD Index

Medical Administrative Section

Requirements For Payment Requests

Tuesday, February 2, 20XX Sample Footer Text 3

Approximately the amount of knowledge gain throughout this 5 weeks

Tuesday, February 2, 20XX Sample Footer Text 4

Tuesday, February 2, 20XX Sample Footer Text 5

Tuesday, February 2, 20XX Sample Footer Text 6

Explain what is security standard?

Protect the Confidentiality, Integrity, and Availability of PHI.

■ Confidentiality is the prevention of unauthorized disclosure of data.

Tuesday, February 2, 20XX Sample Footer Text 7

Explain the term workforce?

Individual Patient Rights

Patients Always Have the Right to Request:

What do you need to process a request for payment?

 Patient’s legal name .

 Relationship to insured (self, spouse, child, other) .

 Address and telephone number .

 Individual identification number and Social Security number .

 Group identification number .

 Employer of insured party .

 Claims address, department, proper P.O. Box .

 Diagnostic codes (that support treatment) .

 Verification of eligibility (call, fax, or Internet verification).

 Photocopy of driver’s license or other photo identification (placed in patient’s file).

What information will be required for existing patients?

 Has your insurance changed?

 Has your name, address, phone number, or e-mail address changed?

 Has your employment changed?

1. Locate the main term in the Index to Diseases (Volume 2).

Proper disposal of contaminated articles is an important component of OSHA rules.

Biohazard Container Regular Waste Sharps Container

Tuesday, February 2, 20XX Sample Footer Text 14

 Temperature increases with infection, exercise, crying, and pregnancy.

 Temperature is decreased in morning.

 For rectal temperature, subtract 1 degree.

 For axillary temperature, add 1 degree.

 Note method of temperature assessment, such as oral, rectal, axillary, or aural.

Tuesday, February 2, 20XX Sample Footer Text 15

 Pulse is decreased in elderly and with certain medications.

 Note pulse rhythm and volume.

Tuesday, February 2, 20XX Sample Footer Text 16

 Respiration is decreased in elderly and with certain medications.

 Note respiratory rhythm and depth.

 Note abnormal breath sounds, if any.

 Take respiration rate without the patient knowing.

Tuesday, February 2, 20XX Sample Footer Text 17

 BP decreases with certain medications.

 Make sure cuff is correct size for patient.

 Never hold bell with thumb.

 Position cuff so scale is easily visible.

 Position patient’s arm at heart level and support the arm.

 Wait 1 to 2 minutes before repeating BP.

 Note arm (L or R) and patient position (sitting or lying).

Tuesday, February 2, 20XX Sample Footer Text 18

 Things to do before the office opens:

1. Clean all examination rooms.

 Things to do before the office closes:

1. Pull charts for following day.

■ Academy of Nutrition and Dietetics—www.eatright.org https://youtu.be/r9LPlIh45is